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HomeMy WebLinkAbout1101 BAKER STREET~ ' Prevention Services . UNIFIED PIROGRAM INSPECTION CHECKLIST e ~ R S F, E o 900Truxtun Ave., suite 210 FiRE Bakersfield, , CA 93301 SECTION 1: Business Plan and Inventory Program ~ AR~M - r~ Tel.: {661) 326-3979. ~ - ~ . , Fax: ~ (661) 872-2171' FACILITY NAME ' ~ ~en~ ~~.~ ' INSPECTION DATE 2~ z6 p INSPECTION TIME I :Uc> ~ ADDRESS ~ 10 -~akti S , ~, ~ HONE NO. "SZ:7yo.~fl ' O OF EMPLOYEES 3 . FACILITY CONTACT _ USINESS ID NUMBER 1 ~ ~ ~~ Z ~ n ~ ~1 . . , ~ 15-021- ~D a.CPS'~ ~ Section 1: Business Plan and Inventory,Program ^ ROUTINE ^ COMBINED ^ JOINT AGENCY ^ MULTI-AGENCY ^ COMPLAINT ^ RE-INSPECTION C. V ( c=comP~iance~ OPERATION V=Violation ' ~ ~ COMMENTS . ^ ~ APPROPRIATE PERMIT ON HAND ~ ~ . • ' - , ' ^ BUSIf18SS PLAN CONTACT INFORMATION ACCURATE ~ ^ VISIBLE ADDRESS • , • _ , ^ _ CORRECT OCCUPANCY . , ~ , - ~ ' ^ VERIFICATION OF INVENTORY MATERIALS ~ ' ^ VERIFICATION OF QUANTITIES . • ~ ^ VERIFICATION OF LOCATION ' ' . ^ PROPER SEGREGATION OF MATERIAL ~ ' , ' ' ^ VERIFICATION OF MSDS AVAILABILITY ' . ~ . ^ VERIFICATION OF HAZ MAT TRAINING ' " ~ ~ ^ ~ VERIFICATION OF ABATEMENT SUPPLIES AND PROCEDURES _ ~ ^ EMERGENCY PROCEDURES ADEQUATE ~ . . . ~ ^ CONTAINERS PROPERLY LABELED ~ ' L7 ^ HOUSEKEEPING . _ " - • ^ FIRE PROTECTION • . . ~ . ~ ~2/~`G~, ' 'e~}• K~S~f~ ^ SITE DIAGRAM ADEQUATE R ON HAND . rcer-auia ANY HAZARDOUS WASTE ON. SITE? ^ YES NO , ~ ~ . ~ EXPLAIN: . . QUESTIONS REGARDING THIS INSPECTION? ~P~ease c,a~~ us nT (667) 326-3979 - - . ~~," 5 ~ .~ucce. - . ~ I . ` . :~R2 ~1 ~vit/'Gi9" ~' Inspector (Please Print) Fire Prevention / 1" In G Shift of Site/Station # Business Sit / Responsible Party (Please Print) White - Prevention Services Yeilow - Stetion Copy .. Pink - Business Copy FD 2155 (Rev. 09/OS